Brent Steven Waller, FNP-BC in Anaheim, CA - Medicare Nurse Practitioner

Brent Steven Waller, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Anaheim, California. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Anooshiravan Hami Md Corp and his current practice location is 3400 W Ball Rd Ste 207, Anaheim, California. You can reach out to his office (for appointments etc.) via phone at (714) 683-5100.

Brent Steven Waller is licensed to practice in California (license number 95013038) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356973432.

Contact Information

	Brent Steven Waller, FNP-BC
	3400 W Ball Rd Ste 207, Anaheim, CA 92804-3737
	(714) 683-5100
	Not Available

Map and Direction

Provider's Profile

Full Name	Brent Steven Waller
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	3400 W Ball Rd Ste 207, Anaheim, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brent Steven Waller graduated from nursing school in 2019

NPI Data:

NPI Number: 1356973432
Provider Enumeration Date: 02/06/2020
Last Update Date: 02/07/2020

Medicare PECOS Information:

PECOS PAC ID: 2668800749
Enrollment ID: I20200324001840

Medical Identifiers

Medical identifiers for Brent Steven Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356973432	NPI	-	NPPES
95013038	Other	CA	CA BRN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95013038 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
West Anaheim Medical Center	Anaheim, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anooshiravan Hami Md Corp	0749504900	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brent Steven Waller allows following entities to bill medicare on his behalf.

Entity Name	Anooshiravan Hami Md Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710382189 PECOS PAC ID: 0749504900 Enrollment ID: O20150116000007

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brent Steven Waller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brent Steven Waller, FNP-BC 766 S Langtree Ln, Anaheim, CA 92807-4897 Ph: () -	Brent Steven Waller, FNP-BC 3400 W Ball Rd Ste 207, Anaheim, CA 92804-3737 Ph: (714) 683-5100

Reviews and Comments

Nurse Practitioner Nurses in Anaheim, CA

Grace Wiryawan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3030 W Ball Rd, Anaheim, CA 92804 Phone: 626-872-9844
Cristian Cuevas, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5475 E La Palma Ave, Anaheim, CA 92807 Phone: 714-485-0354
Mr. William George Woods, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 W La Palma Ave Ste 207, Anaheim, CA 92801 Phone: 714-772-8282 Fax: 714-772-6493
Chinenye Umunnakwe, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 N Euclid St Ste 208, Anaheim, CA 92801 Phone: 310-738-7497
Gayatri Subedi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1771 W Romneya Dr. Ste C, Anaheim, CA 98201 Phone: 714-758-0403
Jennifer Ann Java, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5475 E La Palma Ave, Anaheim, CA 92807 Phone: 714-485-0354
Jine-lan Hsu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800

Brent Steven Waller, FNP-BC - Medicare Nurse Practitioner in Anaheim, CA